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Individual

SHELBY DALY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 E CALIFORNIA BLVD # MC 1/2, PASADENA, CA 91125-0001
(626) 395-1205
Mailing address
108 DEEPWOOD CT, KENAI, AK 99611-6833
(907) 394-1113

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000019523

Other

Enumeration date
03/23/2018
Last updated
03/23/2018
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